Individual provider Active NPI

Vikram Durairaj, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1871683540
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
P8128 Issued in TX
Practice address
3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019
Phone
(512) 458-2141
Fax
(512) 458-4824
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P8128 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X P8128 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019

Mailing address

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019
Phone (512) 458-2141

Other identifiers 1

IdentifierTypeStateIssuer
01758268MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140319000215 TX Practitioner - Ophthalmology 5294787669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1022
Phone (512) 457-2141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.5 of 100Reported as individual
Quality
17
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8128TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oculoplastic Consultants LLP Ophthalmology CurrentSince Feb 24, 2014 Accepting new patients
Texas Oculoplastic Consultants LLP Ophthalmic Plastic and Reconstructive Surgery CurrentSince Feb 24, 2014 Accepting new patients
Eye Clinic of Austin PLLC Ophthalmology Past Accepting new patients

Locations

3705 Medical Pkwy
Ste 120
Austin, TX 78705
Phone (512) 457-2141

4207 James Casey St
Ste 306
Austin, TX 78745
Phone (512) 447-6096

1130 Cottonwood Creek Trl
Ste C4
Cedar Park, TX 78613

Interoperability endpoints

  • Direct secure messaging: vdurairajmd@direct.tocaustin.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1871683540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAIRAJ",
        "first_name": "VIKRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P8128",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P8128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01758268",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.